1979, 04-02 Permit App: M2466 Residence Cour'-f of Spokane. Washing on
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 77 Xx .
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any kind or alter any building
or structure already erected, or to change a land use. Construction must conform with the Spokane County Building Code and Zoning Ordinance. Con-
struction must have inspections.
WATER.Water supply must be approved by the County and State Health Departments.Where work on water connections disturbs the surface, shoulders
or ditches of County Roads,permission must be obtained from the County Engineer's Office.
SEWAGE SYSTEM.Permits are required in all cases by County Resolutions Nos.45-133 and 47-235.
SET-BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set-back from the front property line is required. See current
Spokane County Zoning Ordinance for all required set-backs.
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set-back and ingress and egress.
COUNTY ROADS.Work on street right-of-way may not be performer'until staked by County Road Department and work must be performed in accordance
with stakes.Points of ingress and egress must be approved by the County Engineer.
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State Highway, clearance must
be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS.Accessory building(garages,sheds,etc.)require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land which are enforceable
through civil action.County Officials can not bring action to enforce covenants or dedications.
PARCEL NO z 5Z D60
APPLICANT FILL IN BELOW THIS LINE /
Name of Owner RAY ANTON Address 6112010—
.Fact 10911 4th Ave Phone WA 6-6734
Architect .. rroesbeck-POSo1d . AddressNorth 909 P-hips Rd. Phone 926-9555
Engineer_ Address Phone
Contractor Ray Antnn Address East 10911 4th Ave. Phone WA 6-6734
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number Beginning at' a point on
S. line of said Tract 174, 115 . 02 ' E. of the SW corner of said Tract; thence
E. along the S. line of said Tract a distance of 76. 68 ' ; thence N. parallel
w/W, line of said Tract 200 ' NXXXIINZXXXSXXIXXXXI6XXXXIMXTXXXX Thence W. paralle:
w/S, line of said Tract 76. 68 ' ,thence S. to the point of benning
DESCRIPTION OF WORK: New X _ Addition Remodel Moving Bldg. Zone Fire Zone T T T
Size of Lot _ 76 . 68 ' X 2Q1) ' Sewage System Septic T(F onc.rBr., etc.)
Stories 1 Dimensions -i 0 ' Y 57 ' - Totainq. .t.� Valuation_
$30 ,000
_
Rooms R Baths _ Basement U11 Foundation Const. ___CO11C _ CC i ey_ Fireplace Il./a
(Full, part, none ind) (Number
Heat. SystemBa seboar_d Type of Roofing Comp Ext. Finish Ti -1 1 Si di ITgt. Wall Finish 1/2" G .W.B.
Use of Bldg. Residence--E:A E h-TzJ/cC'.II�I� ,N��7_ �J -s No. of Units 1 Bedrooms 2
ROADWAY R/W WIDTH 40 feet
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH State License No.
tWNr R.,
ity.4/81 Ind. Ins. Acct. No.
t- 101
i f
RESIDENTIA - COMMERCIAL
l id. REQUIRED
l ! I tt 1. I Plumbing Permit
K /I I L..r, Pr4k1 IVG17
m Heating Permit
N -0 11 8 H Sewage Permit
- N -I
II Plans Received
Plans Checked
%01 Plans Returned
1,n 12.14=-a 4_ 6 IIIIII11 1/.321 Plans Picked Up
-s-
-4,- _ ___ __ ' Plans Mailed
1.a.GA
rl
414 SOUTH A\15. ' 2. ` k,. ,,! ,,,,
. ' t
I hereby certify info iation submitted is correct and there are no other structureslocated on this property except
as ho n. ..
t{PgIL 24471
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. PERMITS ARE NON-REFUNDABLE AND NON-TRANSFERABLE
ON NV be DO NOT WRITE BELOW THIS LINE
Your street address will be �, 16911 4.—I'h, Ali the zone is AGRIGULTU L--5a
Sewage Permit Number Issued//'' Building Permit Receipt _ ( Issued
Remarks .�,__ ./ - J
_ _ „Rei , 1
— - ---47417 .i__ 1'
Form 523 Bldy. Code
OFFICE OF THE
SPOKANE COUNTY PLANNING DEPARTMENT
e,
Dote e2 ,197
To Building Codes Department
From Planning Department .
Subject Building Permit
The Planning Department has received a request from
I-Y01 RiuTOIV for the release
of a building permit on the property as described on
the attached affidavit/legal description. It has been
determined that a building permit should be issued
under the provisions of ROW 58.17.210. This memo
and attached affidavit/legal description must accom-
pany the building permit application.
SH/JS/slt
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I p
41' 77
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